Vedantham S
Interventional Radiology Section, Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110, USA.
Phlebology. 2008;23(2):53-7. doi: 10.1258/phleb.2007.007044.
Understand the potential consequences of deep vein thrombosis (DVT) in patients undergoing superficial venous interventions, the proper way to assess DVT risk in patients with superficial venous disease and the appropriate management of patients stratified by risk level.
Review of published literature
Because DVT can have major long-term consequences, DVT risk should be assessed as a routine part of the preprocedure evaluation of venous disease. Chronic venous disease may have multiple contributing factors amenable to treatment in both the superficial and deep venous systems.
Superficial venous interventions should be deferred in patients at particularly high risk for DVT, but may be performed with appropriate countermeasures for DVT prophylaxis in patients at moderate risk.
了解接受浅静脉干预的患者发生深静脉血栓形成(DVT)的潜在后果、评估浅静脉疾病患者DVT风险的正确方法以及根据风险水平对患者进行适当管理。
回顾已发表的文献
由于DVT可能会产生重大的长期后果,因此DVT风险应作为静脉疾病术前评估的常规部分进行评估。慢性静脉疾病可能有多种促成因素,在浅静脉和深静脉系统中都适合进行治疗。
对于DVT风险特别高的患者,应推迟浅静脉干预,但对于中度风险的患者,可以采取适当的DVT预防对策进行干预。